NPI | 1144743360 |
---|---|
Former Name | ANASTASIA SKROBISH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 088285) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA 088285) |
2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: IA 088285) | |
261QU0200X Clinic/Center, Urgent Care (Licence: IA 088285) | |
363AM0700X Physician Assistant, Medical (Licence: IA 088285) | |
Enumeration Date | 2017-07-19 |
Last Update Date | 2021-11-02 |